• 제목/요약/키워드: Supportive nursing intervention

검색결과 89건 처리시간 0.019초

진단 직후 유방암환자의 디스트레스 관리를 위한 심리교육프로그램의 효과 (Psychoeducational Approach to Distress Management of Newly Diagnosed Patients with Breast Cancer)

  • 박진희;전미선;정용식;배선형;정영미
    • 대한간호학회지
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    • 제48권6호
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    • pp.669-678
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    • 2018
  • Purpose: The purpose of this study was to examine the effects of integrated psychoeducational program for distress management of newly diagnosed patients with breast cancer. Methods: A quasi-experimental trial was conducted. The participants consisted of 47 female patients with breast cancer assigned to an intervention group (n=25) and control group (n=22). The intervention group participated in integrated psychoeducational program, consisting of individual face-to-face education and telephone-delivered health-coaching sessions. Data were collected at three time points: pre-intervention (T1), post-intervention (T2), and 6-month follow-up (T3). Study instruments were Distress thermometer, Supportive Care Needs Survey Short Form 34 and Functional Assessment of Cancer Therapy-Breast. Results: Compared with the control group, breast cancer patients in the intervention group reported lower distress and supportive care needs than the control group. The intervention group reported higher quality of life (QOL) overall and higher emotional well-being than the control group. Conclusion: These findings indicate that the integrated psychoeducational program is an effective intervention for reducing distress and supportive care needs and increasing QOL of newly diagnosed patients with breast cancer. Oncology nurses need to provide psychoeducational intervention to support patients with breast cancer in managing their distress and helping them adjust to their life.

Effects of Programmed Information on Coping Behavior and Emotions of Mothers of Young Children Undergoing IV Procedures

  • Won, Dae-Young
    • 대한간호학회지
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    • 제36권8호
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    • pp.1301-1307
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    • 2006
  • Purpose. To determine the effects of provision of information on mother's problem focused coping ability during their child's intravenous procedure. Methods. Data were collected from 56 mothers whose children have admitted to pediatric ward in the hospital. The participants included 27 intervention group mothers and 29 control group mothers. For the information intervention, 'Programmed Information for Parental Coping before Intravenous Procedure (PIPC- IP)', video program was made based on self-regulation theory for the experimental group mothers. Mother's coping ability was measured by parental supportive behavior, parental beliefs and Profile of Mood State (POMS). Results. Mothers who received PIPC-IP showed significantly higher levels of supportive behavior (t = 3.55, p = .005) and Parental Beliefs (t = 2.95, p = .005), but no significant difference in negative mood on POMS (t = .15, p = .87) compared to mothers in the control group. Conclusions. These results demonstrate that PIPC-IP is an effective intervention to increase the supportive behaviors and beliefs of mothers' problem focused coping ability but not the negative mood.

통증 환아를 위한 비약물적 간호 중재 방법 조사 (A survey on the nonpharmacologic nursing intervention for children in pain)

  • 윤혜봉;조결자
    • Child Health Nursing Research
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    • 제6권2호
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    • pp.144-157
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    • 2000
  • This study was done to understand nonpharmacologic pain management for pediateric patients and nurses' knowledge and attitudes toward it. The aim of this study was that which method did the patient's use according to the nurses' age, and how did they effectively use these methods in their field. The subjects of this study were 77 nurses working in the Pediatric unit in the Kyung Medical Center from September 2 to 15, 1999 using questionnaire form. The results of this study were as follows : 1. We divided the subjects into four groups : Younger than one year old, 1-6 years, 6-12 years, 12-18 years group. In the group younger one year old, most of the nurses participating in this study used speaking in soft quiet tones, supportive touch, toys, pacifiers. In the group of 1-6 years, they used speaking in soft quiet tones, toys, distracting attention, story talking, and visual stimulus. In the group of 6-12 years. they used pop-up books, providing information, cold therapy, speaking in soft quiet tones, supportive touch. In the group of 12-19 years, most of them used providing information, controling respiration and supportive touch. 2. The effective nursing intervention used in their field are speaking in soft quiet tones, pacifiers and nesting with blanket in the group of younger than one year old. Un the group of 1-6 years old, speaking in soft quiet tones, toys, and supportive touch were effective method in the control of nonp-harmacologic pain management. In the group of 6-12 years old, story talking, supportive touch, and speaking in soft quiet tones were effective method and in the group of 12-18 years old, providing information, cold therapy and supportive touch were effectively used to control nonpharmacologic pain management. 3. To compare the general characteristics and non-pharmacologic pain nursing intervention, in the group of younger than one year, touching stimuli is widely used. In the groups of 1-6, and 6-12 years old, visual and audio method were widely used. In the group of 12-18 years old, sensitive intervention were used as well as education, information and guided imagery. In conclusion, there was no significant difference in nurses' demographic characteristics, child's age and nonpharmacologic pain management. There was significant difference only in the nurses working area, that is nurses working in the surgical department used more audio-visual-tactile pain management methods than medical department.

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Analysis of research on developmentally supportive care for prematurity in neonatal intensive care unit: a scoping review

  • Lee, Hanna;Park, Ji Hyeon;Cho, Haeryun
    • Child Health Nursing Research
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    • 제28권1호
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    • pp.9-22
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    • 2022
  • Purpose: The purpose of this study was to identify the gaps in research related to developmentally supportive care in the neonatal intensive care unit (NICU). The ultimate goal was to explore directions of further research on developmentally supportive care for premature patients. Methods: The Arksey and O'Malley scoping review method was used. Articles on developmentally supportive care for preterm infants in the NICU, written in English or Korean, were identified through electronic search engines. A total of 279 papers were identified in the initial search, of which 22 full-text papers were included in this review. Results: Several nursing studies have been published in the past 5 years. The important elements of developmentally supportive care were family-centered care and management of the NICU environment. The primary developmentally supportive care interventions were training programs to promote the care competency of NICU nurses. Conclusion: It is necessary to actively develop comprehensive developmental support interventions that consider the various elements of developmentally supportive care for preterm infants. Additional studies should be done to develop programs that provide direct intervention for premature infant and their families.

고위험 임부를 위한 지지적 프로그램이 불확실성, 불안, 태아 애착에 미치는 효과 (Effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in women with high-risk pregnancy)

  • 김현진;전나미
    • 여성건강간호학회지
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    • 제26권2호
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    • pp.180-190
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    • 2020
  • Purpose: The purpose of this study was to identify the effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in high-risk pregnant women. Methods: The participants were 59 high-risk pregnant women admitted to the maternal-fetal intensive care unit. The control group (n=30) received usual treatment and antenatal care, while the experimental group (n=29) received an additional supportive program. Uncertainty, anxiety, and maternal-fetal attachment were measured in both groups prior to the intervention and at 3 days and 10 days after the intervention (or at discharge). Data were analyzed with the t-test, chi-square test, repeated-measures analysis of covariance, and the Greenhouse-Geisser correction in SPSS version 23.0. Results: A supportive program including information provision, nutritional care, emotional care, and exercise care was developed from the literature. All variables except women's length of stay were found to be homogeneous the between experimental and control groups in the pre-test. Length of stay was calculated as a covariate for testing hypotheses. There was a significant difference in state anxiety over time between the two groups, while there were no differences in uncertainty or maternal-fetal attachment. Conclusion: This supportive program was identified as an effective nursing intervention on state anxiety in high-risk pregnant women during their stay in the maternal-fetal intensive care unit. It is suggested that nurses could apply this program to alleviate high-risk pregnant women's state anxiety, and that this program could be modified to be more effective on uncertainty and maternal-fetal attachment in high-risk pregnant women.

전화를 이용한 지지간호가 항암화학요법을 받는 여성 암 환자의 자가간호수행과 삶의 질에 미치는 효과 (Effects of Telephone Intervention as Supportive Nursing on Self-Care Practices and Qualify of Life for Gynecological Cancer Patients under Chemotherapy)

  • 김애숙;이은숙;김성효
    • 대한간호학회지
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    • 제37권5호
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    • pp.744-753
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    • 2007
  • Purpose: The effects of telephone intervention on self-care practices and quality of life for gynecological cancer patients under chemotherapy was investigated. Methods: A non-equivalent control group pre-test post-test quasi-experimental design was used. The subjects were women cancer patients who had received less than two chemotherapy sessions at C university hospital of Chonnam province(26 in the experimental group: 25 in the control group). The patient's self-care practices(Na & Lee, 1999; Jang, 2004) and quality of life(Lee & Jo, 1997) were measured three times. using a questionnaire. The data was analyzed by Repeated Measures ANOVA, the Friedman test, and the Mann-Whitney test using the SPSS window version 12.0 program. Results: This study showed that the score of self-care practices and quality of life for the experimental group under telephone counseling were higher than those of the control group. Conclusion: This study revealed that a telephone intervention as supportive nursing care for women cancer patients under going chemotherapy was effective for self-care practices and qualify of life during the recovery period. Futhermore, this study also suggests that telephone counseling can serve as a continuing nursing supportive intervention for women cancer patients for the upcoming stages of further chemotherapy.

호스피스환자 가족을 위한 지지적 교육프로그램의 효과 (Effect of Supportive Education Program for Hospice Patients's Family)

  • 이태연;권윤희
    • 한국간호교육학회지
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    • 제20권2호
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    • pp.175-183
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    • 2014
  • Purpose: The aim of this study was examine effects of fatigue, anxiety, depression, social support, and spiritual well-being of supportive education program for hospice patients's family. Method: Using a non-equivalent control group pre-post quasi-experimental design, 70 study subjects were assigned into two groups, experimental group (n=35) and the control group (n=35). Measures were fatigue, state-anxiety, depression, social support, and spiritual well-being to test for the effects of supportive education program for hospice patients's family. Data analyzed using $x^2$ test, t-test with SPSS/WIN 19.0 version. Results: The experimental group receiving supportive education program for hospice patients's family had a significant changes of fatigue, state-anxiety, depression, social support, and spiritual well-being. Conclusion: The supportive education program for hospice patients's family is an effective intervention to enhance social support and spiritual well-being and to decrease fatigue, anxiety and depression.

상담일지에 근거한 재가 유방암 환자의 간호요구도 내용분석 (Analysis of Nursing Needs of Home-dwelling Breast Cancer Patients Based on Counselling Contents)

  • 김은자;현진숙;한정화;김나현
    • 한국보건간호학회지
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    • 제30권3호
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    • pp.420-433
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    • 2016
  • Purpose: This study was performed to identify the nursing needs of home-dwelling breast cancer patients based on counseling contents. Methods: Descriptive research was conducted with content analysis. This study included 185 patients who underwent treatment for breast cancer in a tertiary hospital. The data were collected using personal counseling via telephone or face-to-face between March 2011 and July 2013. A total of 536 counseling contents were used in the analysis. Inductive content analysis was used to analyze the contents related to nursing counselling. Results: According to the results. the most frequently reported nursing needs was symptom management, followed by information needs and supportive intervention needs; symptom management needs included symptoms related to chemotherapy, daily living, surgery, and medication side effects; information needs included treatments, medication, clinical tests, and alternative therapies; and supportive intervention needs were related to emotional and social aspects. Conclusion: Our findings suggest that nursing interventions for home-dwelling breast cancer patients should be designed and provided with a consideration to these relevant nursing needs.

디스트레스 간호중재가 부인암 환자의 디스트레스, 면역 및 삶의 질에 미치는 효과 (Development and Evaluation of the Psychosocial Distress Nursing Intervention for Patients with Gynecological Cancer)

  • 박정숙;오윤정
    • 성인간호학회지
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    • 제24권3호
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    • pp.219-231
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    • 2012
  • Purpose: The purpose of this research was to develop and evaluate a distress nursing intervention for relieving psychosocial distress. Methods: We developed a twelve-week non-pharmacological distress nursing intervention to decrease distress. This intervention includes cognitive behavioral therapy, mindfulness based stress reduction, psychoeducation and supportive therapy. The participants were 27 gynecologic cancer patients who agreed to participate in this study, selected by convenience sampling (experimental group-17 and control group-10). The data collection period was performed from November, 8, 2010 to February, 1, 2011. Data were analyzed by using the SPSS/WIN 18.0 program. Results: There were no difference between the two groups distress score, distress problem and quality of life. The experimental group had significant higher IL-12 and IFN-${\gamma}$ and lower TGF-${\beta}$ between before and after the distress nursing intervention. Conclusion: The findings indicate that the distress nursing intervention was an effective intervention in improving immunologic function of gynecological cancer patients.